Inspection on 17/05/06 for Silverpoint Court Care Home

This inspection was carried out on 17th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Silverpoint Court Care Home 27/06/08

Silverpoint Court Care Home 03/05/07

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Silverpoint Court Care Home Silverpoint Marine Canvey Island Essex SS8 7TN Lead Inspector Jacqueline Graves Key Unannounced Inspection 17th May, 2006 09:45 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Silverpoint Court Care Home DS0000066764.V290917.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Silverpoint Court Care Home DS0000066764.V290917.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Silverpoint Court Care Home Address Silverpoint Marine Canvey Island Essex SS8 7TN Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01268 515564 01268 510404 Nellsar Limited Manager post vacant Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36) of places Silverpoint Court Care Home DS0000066764.V290917.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28/09/05 Brief Description of the Service: Silverpoint Court provides residential accommodation for thirty six older people. The home is a purpose built property with accommodation on three floors with a passenger lift allowing access to each floor. The home is situated in a residential area of Canvey Island and close to the seafront. There is a garden to the rear of the property and car parking facilities are available. The home’s facilities include two large lounge areas on the first and second floors and the main dining room on the ground floor. There are thirty single and three double bedrooms and several toilets and bathrooms. Silverpoint Court Care Home DS0000066764.V290917.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Jacqueline Graves carried out the inspection over approximately four hours. The care of two residents was case tracked; the inspector spoke to the residents, observed staff working with them and visited some bedrooms. Some time was spent examining records and observing the midday meal. Questionnaires were given to those residents case tracked, their relatives and health professionals who visit the home. Two questionnaires were returned. Some staff and residents, the manager and deputy were spoken to. Information was provided by the home in a pre-inspection questionnaire. The inspector would like to thank the manager, staff and residents for their help with this inspection. What the service does well: What has improved since the last inspection? The acting manager has been registered as manager with CSCI. Sluice facilities have been provided which will improve hygiene and the control of infection. The home has responded well to some of the requirements and recommendations made at the last inspection. However, not all were inspected on this occasion and it is acknowledged that more time is needed to meet some requirements. Silverpoint Court Care Home DS0000066764.V290917.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Silverpoint Court Care Home DS0000066764.V290917.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Silverpoint Court Care Home DS0000066764.V290917.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,4,5,6 The completion of risk assessments would help minimise risk and promote safety. Further training on current good practice in dementia would help resident’s needs to be met appropriately. EVIDENCE: Written pre-admission assessments were on those resident’s files checked. These showed that the home looks in detail at a person’s needs to ensure they can be met by the home. However, although risk assessments had been started they had not been completed. An issue highlighted at the previous inspection was lack of risk assessments for the prevention of falls. Prospective residents and their families are welcome to visit the home to help them assess what is provided. One resident spoken to had come to the home for a month’s trial to see if it was a suitable place for them. The inspector was advised that people are not admitted for intermediate care to Silverpoint Court. Silverpoint Court Care Home DS0000066764.V290917.R01.S.doc Version 5.1 Page 9 Observation of how staff dealt with a resident with dementia who was distressed, and discussion with the staff, suggested that further training for staff to advise them of current good practice would help them in their work. Silverpoint Court Care Home DS0000066764.V290917.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11 Residents praised the staff. Some residents would benefit from having their medication regularly reviewed by doctors and managing their own medication when assessed as capable of doing this. EVIDENCE: Part of a medication round was observed; this, and the checking of resident’s records showed that staff record the administration of medication. The inspector was advised that the primary care trust had identified a problem of some resident’s medication not being reviewed regularly by G.P.’s. One resident said they were waiting for a doctor to review their pain relief medication, as it was inadequate. The inspector queried whether one resident had been assessed as capable of managing their own medication, to promote their independence. The home will assess people if they request to manage their own medication, but do not automatically do this. Silverpoint Court Care Home DS0000066764.V290917.R01.S.doc Version 5.1 Page 11 Two assessments were seen and one had been used as the basis for a care plan. The resident had signed part of the care plan to indicate their approval. The second care plan was in the process of being developed as the resident had only just moved into the home The care plans are quite long and hard to negotiate; the new providers are considering a more streamlined care plan, which would be easier to use. Discussion with staff took place regarding the monthly reviews of care plans. Records of reviews showed that this was often a repetitive task when residents’ needs remain constant for a long period of time. It was agreed that the home would determine the frequency of reviews and that this should be in response to a person’s changing needs, rather than an automatic, monthly task. Those residents spoken to said staff respect their privacy and dignity, for example when helping them with personal care, or entering their bedrooms. Staff were observed to speak politely and kindly to residents during the inspection. Residents praised the staff. The last wishes of a resident to have family members present were recorded and agreed on a care plan. Reports of the final wishes of residents being respected have been made when the home has reported deaths to the Commission. People’s weights are recorded when they come in to the home, and afterwards to monitor their health and wellbeing. There was conflicting evidence when a resident reported that they had not been able to keep their own G.P. when moving into he home; the manager and staff said residents may register with the G.P. of their choice. Records showed that residents have access to health care services, such as chiropodists, district nurses, opticians and so on. Nurses were visiting some residents on the day of the inspection. Silverpoint Court Care Home DS0000066764.V290917.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15 People are consulted about the food and other aspects of life in the home. Further activities outside of the home and opportunities to mix with other people would enhance some resident’s lives. EVIDENCE: The dining room looked very attractive with tables laid with cloths, napkins and flowers. Some residents chose to eat in their rooms. Menus are displayed so people know what is available. Residents spoken to said there are always alternatives if they do not like what is on offer. Most people spoken to said the food was O.K. and they get plenty of it. In a questionnaire, a visitor to the home said: ‘Food is adequate and selective.’ Some residents voiced criticisms of the quality of tea and porridge and one resident said they would like larger meals. Residents are consulted about food in resident’s meetings and the manager said she would always consider suggestions about the food. Residents spoken to say their family and friends are welcome to visit at any time. This was observed during the day, with residents mostly entertaining visitors in their bedrooms, as there is not a private room for visitors. Residents Silverpoint Court Care Home DS0000066764.V290917.R01.S.doc Version 5.1 Page 13 said their families join in some social events and this has been observed on previous visits to the home. On the day of the inspection, a religious service/social event was planned for the afternoon, for those residents who chose to attend. People praised the entertainment organiser and mentioned how they looked forward to the activities she plans every afternoon. Some residents said they do feel isolated sometimes (particularly when among those residents who have dementia and difficulties communicating with them) and would like more opportunities to talk to other people and to go out on trips and to do normal activities, such a shopping or going for a walk. Some residents said staff/families supplied them with books to read, but expressed a wish for access to library books. Silverpoint Court Care Home DS0000066764.V290917.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 People are encouraged to bring any complaints to the manager’s attention. EVIDENCE: The home has a complaints procedure, which is available to residents and their families. The manager says she encourages an open atmosphere where residents can raise any complaints or concerns with her. One resident gave an example of when they had complained to the manager about something that had upset them and the manager had resolved the complaint to their satisfaction. Silverpoint Court Care Home DS0000066764.V290917.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,24,26 The home was clean with no unpleasant odours. It is encouraging that the new owners are looking into ways of making the building more suitable for those people living there. EVIDENCE: A high level of cleanliness and hygiene was observed throughout the home. Domestic staff said they take pride in keeping the home free of unpleasant odours and none were noticed when walking around the building. In a questionnaire, a relative said: ‘Cleanliness in Silverpoint Court is 100 .’ There are many baths but staff say most residents cannot get in and out of them. The potential problem of having only one assisted bath and an assisted shower, which is not currently used, was raised at previous inspections. The need for further bathing facilities was highlighted after the lift broke down for a week and some residents couldn’t access the bathroom. It was reported Silverpoint Court Care Home DS0000066764.V290917.R01.S.doc Version 5.1 Page 16 that the new providers wish to improve the situation and plans for an adapted bathroom are in progress. A further improvement has been the provision of a sluice to promote more hygienic practice. The home has been assessed by an occupational therapist to consider further ways of making the home more suitable for people who are elderly, infirm or who have dementia. The home was awaiting her report and recommendations before taking action. Silverpoint Court Care Home DS0000066764.V290917.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,30 There are sufficient staff to meet the needs of the residents. Further training, for example on working with people who have dementia and more staff achieving NVQ Level 2 would be of use to staff. EVIDENCE: Staff reported that there were generally enough carers to cover all the required tasks and that cover for any shortages is made by current staff rather than using agency. Those residents spoken to say they get help from staff within a reasonable time when they request assistance. Staff said they felt well supported by their colleagues. The inspector discussed training with two members of staff. One had an NVQ Level 2 qualification and was keen to embark on Level 3. They confirmed that they had received all the required basic training. Another member of staff felt the induction process at the home had prepared them to do their job and they had learned much by shadowing other care staff. They also wished to gain NVQ Level 2 and undertake training on dementia to help them better understand how to work with people who have the condition. The home has not yet achieved 50 members of staff with NVQ Level 2. Silverpoint Court Care Home DS0000066764.V290917.R01.S.doc Version 5.1 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,36,38 People are asked their views on the home and regular monitoring visits by the provider help to improve the service. Regular supervision would provide staff with more support. EVIDENCE: The home is run by a person experienced in the care of the elderly and management, who has recently been registered by the Commission. The manager advised that staff supervision has begun but is not yet as regular as it should be. This is an area the home had identified for improvement. Meetings for residents/their families are held where they can put forward their views. The inspector was advised that questionnaires have been sent out in the past to relatives/residents but the results of such surveys have not yet been made available to CSCI. As the home has recently been taken over, time will Silverpoint Court Care Home DS0000066764.V290917.R01.S.doc Version 5.1 Page 19 be allowed for the new provider to develop a suitable quality assurance system and annual development plan. The manager confirmed that visits are made by the provider’s representative to monitor the service and the Commission has been supplied with copies of records of these visits. The home supplied evidence of gas safety after the last inspection. A problem with the lift had been noticed by staff on the day of the inspection and reported to engineers. The inspector thought she had seen a further possible fault and reported this to the manager. A problem with the lift had been identified at the time of inspection and the home was awaiting the engineer. The inspector thought she may have observed another problem with the lift and this was shared with the manager. Written information provided by the home showed that records of maintenance are kept to ensure required checks and work are carried out to keep the building safe. Silverpoint Court Care Home DS0000066764.V290917.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 2 3 2 3 X 3 X 3 STAFFING Standard No Score 27 3 28 2 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X X 2 X 3 Silverpoint Court Care Home DS0000066764.V290917.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP1 Regulation 4(1)(c) Sch15 (e) Requirement Timescale for action 01/07/06 2 OP3 13(4)(c) (5) 13(4)(c) (5) 13(4)(c) (a) 3 OP7 4 OP19 The service user guide should be in a suitable language and format for the residents. It must include a copy of the complaints procedure and the address and telephone number of the Commission. The statement of purpose must include all the information listed in Schedule 1 of the National Minimum Standards. Timescale 01/01/06 not inspected Care plans must include a risk 01/07/06 assessment on the prevention of falls. Timescale 01/11/05 not met Care plans must include a risk 01/07/06 assessment on the prevention of falls. Timescale 01/11/05 not met Ensure the security of residents 01/08/06 with regard to people gaining easy access to the premises and potentially vulnerable people getting out of the building unsupervised. Timescale 01/11/05 not met Monitor the condition of the worn DS0000066764.V290917.R01.S.doc Version 5.1 Silverpoint Court Care Home Page 22 5 OP21 23(j)(n) 6 OP24 16(2)(c) 7 OP26 13(3) 8 9 OP29 OP36 7,9,19, Sch. 2 18(2) stair carpet to take action should it become unsafe. Provide sufficient bathing facilities suitable to meet residents’ needs. Timescale 01/03/06 not met but planning underway and further time needed to meet this requirement Provide suitable screening in shared rooms to ensure privacy for personal care. Previous timescale of 1/9/05 not met, 01/12/05 not inspected Provide a suitable means of hand drying for staff in the laundry. Previous timescale 01/11/05 not inspected Photos of staff must be on file. Previous timescale 01/11/05 not inspected Ensure that people working in the home are appropriately supervised. 01/10/06 01/10/06 01/08/06 01/08/06 01/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP3 Good Practice Recommendations Care plans should include a risk assessment, with particular attention to the prevention of falls. That risk assessments are made as soon as a person enters a home. Care plans should include a risk assessment, with particular attention to the prevention of falls. That risk assessments are made as soon as a person enters a home. Ensure all staff have the skills to work with people who have dementia (including domestic staff). Ensure that residents are able to take responsibility for their own medication if they wish, within a risk DS0000066764.V290917.R01.S.doc Version 5.1 Page 23 2 OP7 3 4 OP4 OP9 Silverpoint Court Care Home 5 6 OP12 OP28 management framework. Prompt the regular review of medication by G.P.’s. Look into the possibility of accessing the library service, opportunities for trips out of the home and for mixing with other people in the community. At least 50 of care staff achieves NVQ Level 2. Silverpoint Court Care Home DS0000066764.V290917.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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